MR. JUSTIN TARRANCE GIBSON (NPI# 1922234525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922234525 |
Entity Type | Individual |
Full Name | MR. JUSTIN TARRANCE GIBSON |
Practice Address |
2222 Bancroft Way University of California, Berkeley Berkeley CA 94720-4301 |
Practice Telephone | 2563379064 |
Mailing Telephone | 2563379064 |
Enumeration Date | 2009-06-09 |
Last Update Date | 2009-06-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747989 | Justin Bruce Gibson | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
1508408105 | Justin Wade Gibson | Counselor | 309 Progress Dr, Burgaw, NC 28425-3280 | 2019-10-15 |
1649734997 | Justin George Gibson | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2019-01-30 |
1184155244 | Justin Gibson | Student in an Organized Health Care Education/Training Program | 260 Stetson St, Suite 2200, Cincinnati, OH 45219-2498 | 2017-03-21 |
1588817415 | Justin Travis Gibson | Counselor | 3375 Us Rt 60 E, Huntington, WV 25705-2837 | 2008-10-23 |
Street Address |
2222 BANCROFT WAY UNIVERSITY OF CALIFORNIA, BERKELEY |
City | BERKELEY |
State | CA |
Zip Code | 94720-4301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821033309 | Anna Ylva Bloxham Harte | Internal Medicine | 2222 Bancroft Way, #4300, Berkeley, CA 94720-4300 | 2006-06-18 |
1447869813 | Zdravko Rozic | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-30 |
1518576107 | Joshua Lee | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-29 |
1689283939 | Jazmin Rodriguez-jordan | Dietitian, Registered | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-23 |
1356976542 | Melissa Lock | Pharmacist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-03-08 |
1508490566 | Samuel Haile Melles | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-28 |
1568096667 | Camille Burkley | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-27 |
1053942425 | Xiaoxia Song | Psychologist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-03 |
1427697457 | Joni-jay Hayes | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-20 |
1275171175 | Robert Pelletier | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
Find all providers in zip 94720 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851905814 | Adriana Costa | Student in an Organized Health Care Education/Training Program | 1936 Berryman St Apt B, Berkeley, CA 94709-1911 | 2020-09-06 |
1548871437 | Naomi Mae Wright | Student in an Organized Health Care Education/Training Program | 2461 Warring St Apt 211, Berkeley, CA 94704-2561 | 2020-08-13 |
1588291306 | Jake Loitz | Student in an Organized Health Care Education/Training Program | 1822 Francisco St Apt 22, Berkeley, CA 94703-1352 | 2020-03-23 |
1508417452 | Yvette Rico | Student in an Organized Health Care Education/Training Program | 1010 Grayson St Ste 3, Berkeley, CA 94710-2611 | 2019-09-23 |
1700443942 | Heather Marie Schrag | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # 94705, Berkeley, CA 94705-1117 | 2019-05-23 |
1720644388 | Shafai Marriam Zarabi | Student in an Organized Health Care Education/Training Program | 1940 Parker St, Berkeley, CA 94704-3207 | 2019-05-18 |
1780152876 | Isabel Unanue | Student in an Organized Health Care Education/Training Program | 1936 University Ave, Berkeley, CA 94704-1054 | 2018-11-06 |
1669957684 | Elizabeth Blieden | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # B, Berkeley, CA 94705-1117 | 2018-09-25 |
1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
Find all providers in BERKELEY |
Please comment or provide details below to improve the information on MR. JUSTIN TARRANCE GIBSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.